West Side Community Health Services, Inc.

NPI #1205397395 in Saint Paul, Minnesota

Provider Information

NPI Number
1205397395
Entity Type
Organization
Organization Name
West Side Community Health Services, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
WEST SIDE COMMUNITY HEALTH SERVICES
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 29, 2019
Last Updated
Jul 8, 2025

Practice Location

Address
65 KELLOGG BLVD E
ZIP Code
55101-1106
Phone
(651) 602-7500

Authorized Official

Name
REUBEN MOORE
Title
CEO
Phone
(651) 602-7537

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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